Idrivio LLC Dba Teamficient

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

IDRIVIO LLC DBA TEAMFICIENT

Doing business as

TeamFicient

Practice address

2058 N Western Ave
Chicago, IL 60647-6531

Phone

(217) 279-1400

NPI assigned

Jan 3, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samad Khan

Title

Lab Director

Phone

(847) 361-9333

Specialties & licenses 2

Addresses

Other names 1

• TeamFicient Doing business as

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1154082071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2058 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476531",
            "telephone_number": "773-828-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2058 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476531",
            "telephone_number": "217-279-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDRIVIO LLC DBA TEAMFICIENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SAMAD",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "847-361-9333"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "teamficient.com",
            "affiliation": "N",
            "address_1": "2058 N Western Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606476531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "TeamFicient",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TeamFicient",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Folashade Idowu
• Olumuyiwa Idowu, M.D.
• Victoria Idowu
• Hakeem Idris, PHARMD
• Xavier Idriss, MD
• Marion Idzik, RPH
• Stanley Idzik
• Caroline Iem, PHARMD
• Iempower 3CS2 Empowerment, Inc.
• Rachel H Iezzi, PA-C

• Clinical Medical Laboratory in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.